NHSScotland Event 2015 LEADING INTEGRATION FOR QUALITY C:5 Ready Steady Innovate

Ready, Steady, Innovate Session Chair: 24 th June – Cathie Cowan, Chief Executive, NHS Orkney

Session overview 1.Introduction (5 minutes) 2.Elevator Pitches (15 minutes) 3.Facilitated table discussions (30 minutes) 4.Feedback and concluding remarks (10 minutes)

Purpose of the session To stimulate thinking about what you can do to innovate and take innovation forward within NHS Scotland? To come up with practical suggestions around how the innovation process might be improved?

Elevator Pitches 1.PEEK : Iain Livingtone (Ophthalmologist, NHS Greater Glasgow and Clyde) 2.Normal Birth pathway: Karen King (Consultant Midwife, NHS Dumfries and Galloway) 3.‘No Delays’: Jamie Hogg, Clinical Lead for Modernisation and Associate Medical Director, NHS Grampian

PEEK Portable Eye Examination Kit Iain Livingstone ST 7 Ophthalmology NHS GG&C

tumbling E

Peek Retina

Peek Iain Livingstone Andrew Bastawrous Stewart Jordan Mario Giardini Nigel Bolster Kate Tarling Matthew Burton Peekaboo Iain Livingstone Duncan Middleton

Dr Jamie Hogg, Clinical Lead for Modernisation, NHS Grampian Service transformation in NHS Grampian using No Delays

Going digital and the shared health record – is there something more? Overall lesson – it’s never too early to engage with e-health the Year Zero journey

prescribed, personalised, on-demand

Medicines Management Steroids & Inhalers Oxygen Therapy Medication Regime A Devices Medication Regime B PR recruitment Pulmonary Rehab Expert Patient Self Monitoring Moray Elgin Aberdeen Smoking cessation Diet Exercise COPD Asthma Respiratory Care step-down to self management

supported self-management

Hilary add graphics child health content examples

presentation/public/ nd/a-better-plan# ABP No Delays package

Case Study: Type II Diabetes Using No Delays to redesign patient education programme 6 packages available introducing the care team and covering dietary advice, health screening, complications etc Launch targeted every GP, practice manager and practice nurse Huge response – surge of requests for No Delays accounts Ambitious target to phase out traditional model Child Health so far

Clinical teams ‘get it’ – see the potential Teams involved from the start so they own it Single professional group dealing with one ‘condition’ ‘On demand’ appeals to patients Importance of the relationship and the need for information Better informed Mums are less stressed Mums! lessons learned

Nearly 700 health professional accounts Around 1300 packages prescribed Redesigning health care delivery by stealth 30 projects in the pipeline ‘Doing it once’ approach The integration agenda future plans

Next steps – evaluation will be key – await the outcome of Nomad, University of Glasgow and NHS G reviews No Delays as the portal to shared information eRedbook as a test Partnership and investment crucial future plans

The innovation balloon Where do innovative ideas come from? Who needs to be on board? How will you get your innovation off the ground? What might blow your innovation off course? What is holding your innovation back?